Maternity Exam 3 Review Questions with Complete Solutions.
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A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
Which finding would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 br...
maternity exam 3 review questions with complete so
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Maternity Exam 3 Review Questions with Complete
Solutions.
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
Which finding would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
D) Difficulty in arousing - Correct Answer C
The nurse is developing a plan of care for a woman who is pregnant with twins. The nurse
includes interventions focusing on which of the following because of the woman's
increased risk?
A) Oligohydramnios
B) Preeclampsia
C) Post-term labor
D) Chorioamnionitis - Correct Answer B
A woman hospitalized with severe preeclampsia is being treated with hydralazine to
control blood pressure. Which of the following would the lead the nurse to suspect that the
client is having an adverse effect associated with this drug?
A) Gastrointestinal bleeding
B) Blurred vision
C) Tachycardia
D) Sweating - Correct Answer C
After reviewing a client's history, which factor would the nurse identify as placing her at
risk for gestational hypertension?
A) Mother had gestational hypertension during pregnancy
,B) Client has a twin sister.
C) Sister-in-law had gestational hypertension.
D) This is the client's second pregnancy. - Correct Answer A
The nurse is reviewing the laboratory test results of a pregnant client. Which one of the
following findings would alert the nurse to the development of HELLP syndrome?
A) Hyperglycemia
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes - Correct Answer B
Which of the following would the nurse have readily available for a client who is receiving
magnesium sulfate to treat severe preeclampsia?
A) Calcium gluconate
B) Potassium chloride
C) Ferrous sulfate
D) Calcium carbonate - Correct Answer A
A nurse is teaching a pregnant woman with preterm premature rupture of membranes
who is about to be discharged home about caring for herself. Which statement by the
woman indicates a need for additional teaching?
A) "I need to keep a close eye on how active my baby is each day."
B) "I need to call my doctor if my temperature increases."
C) "It's okay for my husband and me to have sexual intercourse."
D) "I can shower but I shouldn't take a tub bath." - Correct Answer C
A nurse is assessing a pregnant woman with gestational hypertension. Which of the
following would lead the nurse to suspect that the client has developed severe
preeclampsia?
,A) Urine protein 300 mg/24 hours
B) Blood pressure 150/96 mm Hg
C) Mild facial edema
D) Hyperreflexia - Correct Answer D
A nurse suspects that a pregnant client may be experiencing abruption placenta based on
assessment of which of the following? (Select all that apply.)
A) Dark red vaginal bleeding
B) Insidious onset
C) Absence of pain
D) Rigid uterus
E) Absent fetal heart tones - Correct Answer A
D
E
A nursing student is reviewing an article about preterm premature rupture of membranes.
Which of the following would the student expect to find as factor placing a woman at high
risk for this condition? (Select all that apply.)
A) High body mass index
B) Urinary tract infection
C) Low socioeconomic status
D) Single gestations
E) Smoking - Correct Answer B
C
E
A woman with placenta previa is being treated with expectant management. The woman
and fetus are stable. The nurse is assessing the woman for possible discharge home.
Which statement by the woman would suggest to the nurse that home care might be
inappropriate?
A) "My mother lives next door and can drive me here if necessary."
, B) "I have a toddler and preschooler at home who need my attention."
C) "I know to call my health care provider right away if I start to bleed again."
D) "I realize the importance of following the instructions for my care." - Correct Answer B
A woman with gestational hypertension experiences a seizure. Which of the following
would be the priority?
A) Fluid replacement
B) Oxygenation
C) Control of hypertension
D) Delivery of the fetus - Correct Answer B
A woman is receiving magnesium sulfate as part of her treatment for severe
preeclampsia. The nurse is monitoring the woman's serum magnesium levels. Which
level would the nurse identify as therapeutic?
A) 3.3 mEq/L
B) 6.1 mEq/L
C) 8.4 mEq/L
D) 10.8 mEq/L - Correct Answer B
When preparing a schedule of follow-up visits for a pregnant woman with chronic
hypertension, which of the following would be most appropriate?
A) Monthly visits until 32 weeks, then bi-monthly visits
B) Bi-monthly visits until 28 weeks, then weekly visits
C) Monthly visits until 20 weeks, then bi-monthly visits
D) Bi-monthly visits until 36 weeks, then weekly - Correct Answer B
Later in pregnancy, which placental hormone causes insulin resistance of the tissues?
a. progesterone
b. estrogen
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